Acupuncture,Workforce,Survey,Outcome assessment (health care),Income," /> Acupuncture,Workforce,Survey,Outcome assessment (health care),Income,"/> Comparing outcomes from the two most recognized acupuncturist workforce surveys
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Journal of Integrative Medicine ›› 2017, Vol. 15 ›› Issue (1): 37-43.doi: 10.1016/S2095-4964(17)60322-4

• Research Article • Previous Articles     Next Articles

Comparing outcomes from the two most recognized acupuncturist workforce surveys

Steven H. Stumpfa, Kory Ward-Cookb, Clifford R. Carrc   

  1. a Health Administration Program, California State University at Northridge, Northridge, California 91330, USA 
    b National Certifi cation Commission of Acupuncture and Oriental Medicine, Jacksonville, Florida 32202, USA 
    c Clifford R. Carr, 1743 Penmar Avenue #3, Venice, California 90291, USA
  • Received:2016-09-20 Accepted:2016-10-25 Online:2017-01-15 Published:2018-12-18
  • Contact: Steven H. Stumpf, EdD; E-mail:
  • Supported by:
    This work was supported in part by a stipend from the National Certification Commission of Acupuncture and Oriental Medicine.


To determine the informational consistency produced by the two most recent independent surveys and draw a conclusion whether the data would be sufficient for the National Center for Health Workforce Analysis and Bureau of Labor and Statistics consideration.


This paper compares workforce outcomes collected by the two most prominent acupuncture entities that have produced the most useful acupuncturist workforce data (California Acupuncture Board 2015 Occupational Analysis and the National Certification Commission of Acupuncture and Oriental Medicine? 2013 Job Analysis) at national and state levels.


Findings based upon the most compatible survey questions showed the following: more than 70% of acupuncturists work fewer than 40 hours weekly; approximately 76% work in solo practice or in shared space with other acupuncturists; more than 70% of the national sample have been in practice 15 years or less; and median income is between $40 000 and $50 000. A preponderance of acupuncturists is less than 50 years of age, and fewer than 15% of all respondents have been in practice more than 20 years.


Basic workforce information is a necessary precursor for conducting workforce projections. It is useful to track the expansion or contraction of any given profession. Tracking influences subsequent planning for the profession based upon reliable and valid information about its growth. The ability of the profession to collect its own workforce data is paramount to workforce projection models. Any future survey should be a shared project that follows guidelines supported by the National Center for Health Workforce Analysis.

Key words: Acupuncture, Workforce, Survey, Outcome assessment (health care), Income

1 Austin S, Ramamonjiarivelo Z, Qu H, Ellis-Griffith G.Acupuncture use in the United States: who, where, why, and at what price?Health Mark Q. 2015; 32(2): 113-128.
2 Barnes PM, Bloom B, Nahin RL.Complementary and alternative medicine use among adults and children: United States, 2007.Natl Health Stat Report. 2008; 10(12): 1-23.
3 Ca ssidy CM. Chinese medicine users in the United States. Part I: utilization, satisfaction, medical plurality.J Altern Complement Med. 1998; 4(1): 17-27.
4 Herman PM, Craig BM, Caspi O.Is complementary and alternative medicine (CAM) cost-effective? A systematic review. BMC Complement Altern Med. 2005; 2(5): 11.
5 Jabbour M, Sapko MT, Miller DW, Weiss LM, Gross M.Economic evaluation in acupuncture: past and future.Am Acupunct. 2009; 49: 11-17.
6 Burke A, Upchurch DM, Dye C, Chyu L.Acupuncture use in the United States: findings from the National Health Interview Survey.J Altern Complement Med. 2006: 12(7): 639-648.
7 Stumpf S, Hardy ML, Kendall DE, Carr CR.Unveiling the United States acupuncture workforce.J Evid Based C omplementary Altern Med. 2008; 15(1): 31-39.
8 Stumpf SH, Carr CR, McCuaig S, Shapiro SJ. The U.S. acupu ncture workforce: the economics of practice.Am Acupunct.
2 012; 56: 30.
9 La Mastra S. A generation t hat’s choking on debt and disappointment. Investor’s Bus iness Daily.2015-10-20(13).
10 Stumpf SH, Hardy ML, McCuaig S, Carr CR, Sarkisyan A. Acupuncture practice acts: a profession’s growing pains.Explore (NY). 2015; 11(3): 217-221.
11 Cherkin DC, Deyo RA, Sherman KJ, Hart LG, Street JH, Hrbek A, Davis RB, Cramer E, Milliman B, Booker J, Mootz R, Barassi J, Kahn JR, Kaptchuk TJ, Eisenberg DM.Characteristics of visits to licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians.J Am Board Fam Pract. 2002; 15(6): 463-472.
12 12 Ward-Cook K, Hahn T. 2008 job task analysis: a report to th e acupuncture and Oriental medicine (AOM) community. [2016-03-06]. . 2008 job task analysis: a report to th e acupuncture and Oriental medicine (AOM) community. [2016-03-06]. page/.
13 13 The Office of Examination Resources of the California Department of Consumer Affairs. California Acupuncture Board: acupuncturist. (2008-12) [2016-03-06]. . California Acupuncture Board: acupuncturist. (2008-12) [2016-03-06]. http://www.
14 14 The Offi ce of Professional Examination Services, California Department of Consumer Affairs. Occupational Analysis of the acupuncturist profession. (2015-01) [2016-03-06]. . Occupational Analysis of the acupuncturist profession. (2015-01) [2016-03-06]. occanalysis.pdf.
15 15 Wang ZG, Schroeder Measurement Technologies, Inc., National Certification Commission for Acupuncture and Oriental Medicine. Foundations of Oriental medicine, biomedicine, acupuncture with point location, Chinese herbology job analysis report 2013. [2016-03-06]. ., National Certification Commission for Acupuncture and Oriental Medicine. Foundations of Oriental medicine, biomedicine, acupuncture with point location, Chinese herbology job analysis report 2013. [2016-03-06]. http://
16 16 Ward-Cook K. Descriptive demographic and clinical practice profile of acupuncturists: An executive summary from the NCCAOM? 2013 Job Analysis Survey. [2016- 03-06]. . Descriptive demographic and clinical practice profile of acupuncturists: An executive summary from the NCCAOM? 2013 Job Analysis Survey. [2016- 03-06]. page/.
17 Siegel S.Nonparametric statistics for the behavioral sciences. New York: McGraw-Hill Book Company. 1956.
18 Moore JC, Stinson LL, Welniak CJ.Income measureme nt error in surveys: a review.J Offi cial Statist ics. 2000; 16(4): 331-362.
19 19 Martin TC. Acupuncture profession in crisis. (2012-12) [2016-03-06]. . Acupuncture profession in crisis. (2012-12) [2016-03-06].
20 Rayburn WF, Strunk AL, Petterson SM. Considerations about retirement from clinical practice by obstetriciangynecologists. Am J Obstet Gynecol.2015; 213(3): 335. e1-335.e4.
21 21 Bureau of Labor and Statistics. Occupational outlook handbook. (2015-12-07) [2016-03-06]. . Occupational outlook handbook. (2015-12-07) [2016-03-06]. ooh/healthcare/home.htm.
22 Lewis EF, Hardy M, Snaith B.Estimating the effect of nonresponse bias in a survey of hospital organizations.Eval Health Prof. 2013; 36(3): 330-351.
23 Partin MR, Powell AA, Burgess DJ, Haggstrom DA, Gravely AA, Halek K, Bangerter A, Shaukat A, Nelson DB.Adding postal pollow-up to a web-based survey of primary care and gastroenterology clinic physician chiefs improved response rates but not response quality or representativeness.Eval Health Prof. 2015; 38(3): 382-403.
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